Healthcare Provider Details

I. General information

NPI: 1851182919
Provider Name (Legal Business Name): ANNIE SORIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 S SOONER RD
OKLAHOMA CITY OK
73135-5600
US

IV. Provider business mailing address

1650 LYNDON FARM CT STE 300
LOUISVILLE KY
40223-5005
US

V. Phone/Fax

Practice location:
  • Phone: 405-610-6320
  • Fax:
Mailing address:
  • Phone: 726-202-3039
  • Fax: 210-978-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6669
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: